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精神分裂症患者及对照收养者及其亲属言语的内容分析:初步结果

Content analysis of speech of schizophrenic and control adoptees and their relatives: preliminary results.

作者信息

Kinney D K, Jacobsen B, Bechgaard B, Jansson L, Faber B, Kasell E, Uliana R L

出版信息

Soc Sci Med. 1985;21(5):589-93. doi: 10.1016/0277-9536(85)90044-9.

Abstract

Speech samples were collected on 20 Danish schizophrenic adoptees, along with 26 control adoptees and their respective biological and adoptive relatives. Typewritten transcripts of these speech samples were scored using the Gottschalk-Gleser Social Alienation-Personal Disorganization (SA-PD), or "Schizophrenic', content analysis scale. Both mean scale scores and the proportion of subjects with extremely high (i.e. deviant) scores were significantly higher in schizophrenic adoptees than in either (a) subjects with no psychiatric disorder or (b) the sample with psychiatric disorders other than schizophrenia. The proportion of deviant scores was also notably high among subjects who, though not schizophrenic, had schizotypal features on the SADS-L interview. Scores were particularly high in schizophrenic adoptees who had a biological parent or sibling with schizophrenia or schizotypal features. By contrast, scores of 29 adoptive relatives of the schizophrenic probands were quite low. The present study appears to corroborate the results of previous studies done in the U.S.A. and Great Britain which suggest that high scores on the SA-PD scale tend to characterize those schizophrenics for whom genetic liability appears to be strongest.

摘要

收集了20名丹麦精神分裂症被收养者以及26名对照被收养者及其各自的生物学和收养亲属的言语样本。这些言语样本的打字记录使用戈特沙尔克 - 格勒泽社会疏离 - 个人紊乱(SA - PD)或“精神分裂症”内容分析量表进行评分。精神分裂症被收养者的平均量表得分以及得分极高(即偏差)的受试者比例均显著高于(a)无精神疾病的受试者或(b)患有除精神分裂症以外的精神疾病的样本。在SADS - L访谈中虽非精神分裂症但具有分裂型特征的受试者中,偏差得分的比例也显著较高。在有精神分裂症或分裂型特征的生物学父母或兄弟姐妹的精神分裂症被收养者中,得分尤其高。相比之下,29名精神分裂症先证者的收养亲属的得分相当低。本研究似乎证实了在美国和英国进行的先前研究的结果,这些结果表明,SA - PD量表上的高分往往是那些遗传易感性似乎最强的精神分裂症患者的特征。

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